Provider Demographics
NPI:1215916176
Name:MAJORANA, JAMES GERARD (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GERARD
Last Name:MAJORANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8142 BELLARUS WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1799
Mailing Address - Country:US
Mailing Address - Phone:727-202-1303
Mailing Address - Fax:
Practice Address - Street 1:8142 BELLARUS WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1799
Practice Address - Country:US
Practice Address - Phone:727-202-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH007280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55605XOtherMEDICARE PTAN
FL55605XOtherMEDICARE PTAN